Individual
YASAMIN NANAZ GHIASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8641 WILSHIRE BLVD STE 210, BEVERLY HILLS, CA 90211-2920
(310) 855-7002
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A177332
CA
207KA0200X
Allergy Physician
A177332
CA
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
A177332
CA
Other
Enumeration date
04/04/2019
Last updated
09/09/2024
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